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CACI Conditions: Good news for pilots!

Conditions AMEs Can Issue (CACI) is a series of conditions which allow AMEs to regular issue if the applicant meets the parameters of the CACI Condition Worksheet. The worksheets provide detailed instructions to the examiner and outline condition-specific requirements for the applicant. Two of the CACI conditions do not require worksheets and are found in the dispositions table for the condition (see below). If the criteria are met, and the applicant is otherwise qualified, the AME may issue without contacting AMCD first. If the requirements are not met, the AME must defer the exam and send the supporting documents to the FAA. Bottom line:  If you have these conditions, I will be able to issue your certificate if you meet the conditions specified in the worksheets. CACIs with Certification Worksheets: Arthritis Asthma Colitis Glaucoma Hepatitis C Hypertension Hypothyroidism Migraine and Chronic Headache Pre-Diabetes Renal Cancer CACIs without Certification Worksheet
To get started on the process of obtaining your Medical Certificate, follow the instructions below. Email me if you have any questions.

If you have a history of kidney stones:

For a single episode of a passed stone, the FAA will need a letter from your physician addressing your “Status Report” and the results of the “Metabolic Evaluation”. I will then be able to issue your certificate. For multiple episodes or retained stone, please obtain from your urologist the following: 1. A Current metabolic evaluation and status report of your stone/stones. 2. A statement from him/her as to the possible etiology and prognosis; 3. The site and location of the stones; 4. Complications such as compromise in renal function, repeated bouts of kidney infection; 5. Any need for therapy. 6. Report of imaging studies (KUB, IVP, or spiral CT) must be also be submitted. 7. A Statement from the urologist AFFIRMING that the stone appears to be stable and is unlikely to pass spontaneously. If you have retained stones, you will need a “Special Issuance” from the FAA and they will make the decision to issue your certificate; I will not have the authority to do so. If the revie

If you have had refractive surgery such as LASIK

If the LASIK was done 2 years ago or longer, the FAA may accept my eye evaluation and your statement regarding the absence of adverse sequela (halos,glare intolerance,rings,impaired night vision and other complications). I will be able to issue your certificate if you meet the vision standards. If the LASIK was done less than 2 years ago, then you will have to ask your opthalmologist to fill out an FAA form 8500-7 . The opthalmologist must indicate that "healing is complete, visual acuity remains stable; and the applicant does not suffer sequela such as: glare intolerance, halos, rings, impaired night vision, or any other complications. There should be no other pathology of the affected eye(s)." I will then be able to issue your certificate if the report from the opthalmologist is favorable.

If you fail the Color Vision Testing (ie if you're color blind):

I use the Ishihara pseudoisochromatic plates: Concise 14-plate edition: six or more errors on plates 1-11 will disqualify you. Your certificate will then have a limitation stating the following: "NOT VALID FOR NIGHT FLYING OR BY COLOR SIGNAL CONTROL". For applicants for a third-class airman medical certificate who has defective color vision and desires an airman medical certificate without the color vision limitation, you can go to the local FSDO for a Signal Light Test and Aeronautical chart reading test (called Operational Color Vision Test (OCVT)). For applicants for a second or first class medical certificate (which I do not give), you must pass the OCVT above as well as a Medical Flight Test (MFT) which is also given by the FSDO. Again, if you do not plan to fly at night or by color signal control, you do not need to do the above tests with the FSDO. I will be able to issue your medical certificate with the above limitations.